Physiology Part 1 Flashcards

1
Q

CO=

A

-CO=SVXHR

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2
Q

What is the Fick principle?

A

CO=(Rate of O2 Consumption)/(Arterial O2 content-Venous O2 content)

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3
Q

MAP=

A
  • MAP= CO X TPR

- MAP= 2/3 Diastolic P + 1/3 Systolic P

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4
Q

Pulse Pressure=

A

Pulse Pressure= Systolic P - Diastolic P

-Proportional to SV

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5
Q

SV=

A
  • SV=CO/HR

- SV=EDV-ESV

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6
Q

During the early stages of exercise, CO is maintained by…

A

Increasing HR and SV

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7
Q

During the late stages of exercise, CO is maintained by…

A

Increasing HR (SV plateaus)

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8
Q

If HR is too high what happens to CO?

A

Diastolic filling is incomplete and CO decreases

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9
Q

SV is affected by…

A

CAP

Contractility, Afterload, Preload

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10
Q

If SV is increased, then CAP…

A
  • Contractility is increased
  • Afterload is decreased
  • Preload is increased
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11
Q

Factors that increase contractility (and SV)

A
  • Catecholamines
  • Increased intracellular Ca
  • Decreased extracellular Na
  • Digitalis
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12
Q

Factors that decrease contractility (and SV)

A
  • B1 blockade
  • Heart Failure
  • Acidosis
  • Hypoxia/hypercapnea
  • Non-dihydropyridine Ca channel blockers
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13
Q

SV increases during…

A

anxiety, exercise, pregnancy

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14
Q

A failing heart has _____ SV

A

Decreased

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15
Q

Myocardial O2 demand is increased by

A
  • increased afterload (increased MAP and increased wall tension (from increased heart size))
  • Increased contractility
  • Increased HR
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16
Q

Venodilators…

A

decrease preload (eg. Nitroglycerin)

17
Q

Vasodilators…

A

decrease afterload (eg. Hydralazine)

18
Q

Preload increases with…

A
  • exercise
  • increased blood volume
  • excitement (SNS activity)
19
Q

EF=

A

EF = (SV/EDV) = (EDV-ESV)/EDV

20
Q

EF is an index of….

A

Ventricular Contractility

21
Q

EF is normally…

A

> 55%

22
Q

In systolic HF, EF….

A

decreases

23
Q

Driving Pressure (delta P)=

A

delta P = Q X R

24
Q

Resistance=

A
  • Resistance=(delta P)/Q

- Resistance= (8nxL)/pieXr4

25
Q

Total resistance of a vessel in series and in parallel…

A
  • Series: R1+R2+R3

- Parallel: 1/R1 + 1/R2 + 1/R3

26
Q

Viscosity depends on….

A

hematocrit

27
Q

VIscosity is increased by…

A
  • Polycythemia
  • Hyperproteinemic states (eg. multiple myeloma)
  • Hereditary spherocytosis
28
Q

Viscosity ___ in anemia

A

decreases

29
Q

-Reisistance is directly proportional to _____ and inversely proportional to _______.

A
  • Directly: viscosity, vessel length

- Indirectly: radius^4